ETRAP 2017

Valencia, Spain (2017-05-30 - 2017-06-02)

6th International Conference on Education and Training in Radiological Protection

Registration form

Grey input fields are mandatory.

Title
Academic degree
First name
Last name
Organisation
Department
Position
Address 1
Address 2
Postal code
City
Country
E-mail
E-mail (Please confirm)
Telephone
Please include country code
Fax
Please include country code
VAT ID Nr
Only if needed for invoice
Purchase Order Nr
Your Purchase Order nr (if applicable, specific to your company that should be included on the invoice that is compulsory for payments)
Address for invoice if different from above, otherwise leave empty
Name 1
Name 2
Address 1
Address 2
Postal code
City
Country

REGISTRATION

The registration includes access to all sessions, conference materials, coffee breaks, lunches, dinner and social events.

ENS Member (incl. 21% VAT)		762.3 EUR
ENS Non-member (incl. 21% VAT)		847 EUR
University staff and Research Centers (incl. 21% VAT)		635.25 EUR
Professionals from and working in Eastern European countries (incl. 21% VAT)		635.25 EUR
ENS Young Generation Network and IRPA members younger than 36 years (incl. 21% VAT)		381.15 EUR

INVITATION LETTER

Please fill in the required information for invitation letter for delegates from countries who will need a VISA for Spain below

I need an Invitation Letter
I need an Invitation Letter that shall be sent by express delivery (FedEx, DHL)		90 EUR

REQUESTED INFORMATION

Please provide your passport/ID nr. if you would like to have access to WiFi at the conference premises! Please complete all fields if you need an invitation letter for VISA support.

Nationality:

Place of Birth:

Date of Birth:

Home address:

City:

Passport / ID nr:

Passport/ID issue date:

Passport/ID expiry date:

CONFERENCE DINNER

Thursday 1 June 2017

I will attend the Conference Dinner
I will not attend the Conference Dinner

Accompanying guest for the Conference Dinner (incl. 21% VAT)

70 EUR

Name of accompanying guest

Accompanying second guest for Conference Dinner (incl. 21% VAT)

70 EUR

Name of accompanying second guest

I'm vegetarian

Accompanying guest is vegetarian

Second accompanying guest is vegetarian

INVOICE-NR.

Please do not fill in. For internal purposes only.

Invoice-Nr.

Payment

Please select your preferred payment method

Online Payment (Ogone) - Only Visa and Eurocard/Mastercard accepted
Payment by bank transfer

Please note: credit cards that have activated the â€˜Verified by Visaâ€™ or â€˜MasterCard SecureCodeâ€™ feature - an extra password is needed when you make the online transaction. In this case, the payment is a two-step procedure: On the first page you have to provide your credit card number, the expiry date and the card verification code. On a second payment page you have to provide your password.

By clicking the button 'OK' the total amount of your registration fee will be calculated and all selected options can be validated.

Cancellation policy

Cancellations must be communicated in writing. There will be no refund if cancellations are made after 30 April 2017 (one month prior). For cancellations prior to 30 April 2017, an administrative fee of 100€ will be charged.

ENS CONFERENCE

organised in collaboration with:

ETRAP 2017

Registration form

Grey input fields are mandatory.

Address for invoice if different from above, otherwise leave empty

Cancellation policy